Code: A9517

Description:
Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI
ISOTOPE I131 CAP PER MCI
HC RP IODINE 131 MCI THERAPY
SODIUM IODIDE I-131 JW
I 131 SODIUM IODIDE CAPSU
I-131 PER MCI
I131 SOD IODNE THRPY 30MCI
RX TX I 131 Initial Mci
RX TX I 131 Addl Mci
Related codes:
Code: A9510
TC99M DISOFENIN DX 15MCI
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9513
LU177 DOTATATE TX 200MCI
Code: A9515
Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9516
I123 SOD DX 100-999 UCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
Michigan
Hospital Address Code Price Last Updated
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit A9517 $19 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak A9517 $21 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren A9517 $26 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield A9517 $27 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City A9517 $28 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City A9517 $28 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren A9517 $28 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester A9517 $28 [source] 4 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron A9517 $31 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac A9517 $38 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant A9517 $39 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit A9517 $51 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint A9517 $60 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak A9517 $62 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak A9517 $62 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, A9517 $62 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy A9517 $62 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak A9517 $62 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak A9517 $62 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy A9517 $62 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn A9517 $62 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington A9517 $62 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak A9517 $62 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy A9517 $62 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak A9517 $62 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak A9517 $62 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor A9517 $62 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton A9517 $62 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington A9517 $62 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne A9517 $62 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn A9517 $62 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn A9517 $62 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak A9517 $62 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing A9517 $70 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe A9517 $73 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey A9517 $88 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe A9517 $137 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma A9517 $211 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens A9517 $335 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin A9517 $1,050 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette A9517 $7,338 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.